糖尿病与肝病的研究进展

Current researches of liver disease in diabetes mellitus

在我国,糖尿病的发病率逐年上升。肝脏在糖尿病发生的病理生理过程中占重要位置。除了糖尿病并发的心血管病变、肾病、眼科疾病外,肝脏相关的并发症也较常见,临床上常难以辨别。尤其我国是肝病的高发地区。这里仅就糖尿病的相关肝病:主要为非酒精性脂肪性肝病和丙型肝炎,以及肝硬化、急性肝衰竭、肝癌等作一综述。

Diabetes mellitus is a growing health concern in our country. The liver has a key role in the pathophysiologic processes of diabetes. In addition to the well-known cardiovascular, renal, and ophthalmologic complications of diabetes, liverrelated complications occur commonly and are often underrecognized, especially liver diseases occur more often in our country. The ensuing article will review the relationship between diabetes mellitus and two common liver diseases： chronic hepatitis C and nonalcoholic fatty liver disease. The association with diabetes and cirrhosis, acute liver failure and hepatocellular carcinoma will also be discussed.